2023 Voting Record

Significant Provisions from the General Appropriations Act Include: Statewide Medicaid Managed Care Long Term Care (SMMC LTC) SMMC LTC will receive a funding increase of $403,3222,851. The program funds LTC services to low-income disabled and older adults who need nursing home level of care. SMMC LTC may include, among others, adult day care, assisted living, caregiving training, hospice services, medical equipment, respite care and various therapies. The SMMC LTC program has a limited number of slots for eligible service recipients – as of March 21, 2023, there are 51,254 Medicaid applicants on SMMC LTC waiting lists. Applicants remain on the waiting lists for an average of 7 years before receiving services. Assistive Care Services (ACS) ACS, a Medicaid-based, state administered program will receive $3,098,452, which is a decrease of $125,565 from last year. ACS provides care for eligible low-income residents of qualifying assisted living facilities and adult family-care homes experiencing certain functional limitations. ACS includes, but is not limited to, assistance with activities of daily living, medication administration, and health support. Home and Community Based Services (HCBS) With a total budget of $1.9 billion, HCBS will receive a combined increase of $73,399,163 from last year. HCBS includes services such as Alzheimer’s Respite Care, Community Care for the Elderly and Home Care for the Elderly, which provide opportunities for beneficiaries to receive services within their own homes and communities, instead of within institutionalized facility care settings. As of May 2023, HCBS has a waitlist of more than 63,200 Floridians. Community Care for the Elderly (CCE) CCE, a non-Medicaid program, will receive an increase of $2 million in funding. CCE provides community-based services to help functionally impaired elders, ages 60+, live in the least restrictive and most cost-effective environments to forestall or prevent nursing home placement. CCE services include adult day care, case management, chores, companionship, consumable medical supplies, counseling, emergency alert response, emergency home repair, home delivered meals, home health aide, homemaker, home nursing, information and referral, legal assistance, material aid, medical therapeutic services, personal care, respite, shopping assistance, transportation, and other community-based services. As of May 2023, CCE has a waitlist of more than 79,000 Floridians. Home Care for the Elderly (HCE) HCE will receive an increase of $3 million in funding. HCE provides care in family-type living arrangements for non-Medicaid individuals, ages 60+, who have incomes and assets meeting the Institutional Care Program (ICP) standard and who are at great risk of nursing home placement. As of May 2023, HCE has a waitlist of more than 20,000 Floridians. General Appropriations Act 2023 SB 2500 – General Appropriations Act 2023-2024, and SB 2502 - Implementing the 2023-2024 General Appropriations Act, by Senate Appropriations Committee. Once signed by the Governor, this will be effective July 1, 2023. The Florida Legislature passed a total budget of $117 billion for the 2023-2024 fiscal year, which includes a $1.3 billion tax package. This year’s budget reflects an increase of $4.9 billion from the 2022-2023 budget.

Budget

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